- Sedgwick (Atlanta, GA)
- …losses, including handling accounting-based losses (business interruption and stock) + Examines claim form and other records to determine insurance coverage. + ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Adjuster General- NE Atlanta Area As an adjuster...be responsible for investigating and adjusting property and casualty claims , both residential and commercial, with little to no… more
- Sedgwick (Atlanta, GA)
- …and relatively complex National Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine ... insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant(s) and witnesses… more
- Cardinal Health (Atlanta, GA)
- …to Cardinal Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, ... and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing… more
- Elevance Health (Atlanta, GA)
- …Specialist III** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... cash receipts, cash application, claim audits, collections, overpayment vendor validation, and ...**How you will make an impact:** + Audits paid claims for overpayments using various techniques including systems-based queries,… more
- Prime Therapeutics (Atlanta, GA)
- …and abuse (FWA) through various mechanisms, including but not limited to: claim adjustments, future payment withholding and coordination with an external collection ... teams. **Responsibilities** + Perform and document collection efforts such as claim adjustments, future payment withholding and/or coordination with an external… more
- Elevance Health (Atlanta, GA)
- … claims . Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network ... contracting. **How will you make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary… more
- CVS Health (Atlanta, GA)
- …+ Collecting, organizes, and analyzes large volumes of data related to insurance policies, claims , demographics, and other relevant factors. + Develops ... and share results of analysis with management. + Reserve Analysis: Analyze claim data and monitor reserve levels for appropriateness and demonstrate an understanding… more
- Sedgwick (Atlanta, GA)
- …+ Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine … more
- BrightSpring Health Services (Valdosta, GA)
- …adjustments throughout the month for assigned Operations. + Timely follow up on insurance claim denials, exceptions, or exclusions. + Maintain open communication ... insurance and/or federally funded programs, researching aging and claims . + Experience in reading and understanding remits for...State Billing Portal sites, preferred. + Experience in filing claim appeals with insurance companies to ensure… more
- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for ... property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies and other records to determine insurance coverage. +… more